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Polypoid arteriovenous malformation presenting with jejunojejunal intussusceptions in an adult.

Lim DH, Ahn JY, Seo M, Yun JH, Kim TH, Jung HY, Kim JH, Park YS - Clin Endosc (2014)

Bottom Line: Treatment comprised laparoscopic small bowel resection with end-to-end jejunostomy.The final diagnosis was a polypoid AVM measuring 5×3.5×3 cm.We suggest that polypoid AVM should be considered as a differential diagnosis in patients presenting with small intestinal neoplasms.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, Asan Digestive Disease Research Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

ABSTRACT
Jejunal polypoid arteriovenous malformations (AVMs) and jejunojejunal intussusceptions are both rare. Here, we present the case of a 61-year-old woman who suffered intermittent episodes of abdominal pain over the course of 13 years. A computed tomography scan of her abdomen and pelvis revealed a distal jejunojejunal intussusception. A suspected low density mass was observed at the tip of the intussusception. Treatment comprised laparoscopic small bowel resection with end-to-end jejunostomy. The final diagnosis was a polypoid AVM measuring 5×3.5×3 cm. We suggest that polypoid AVM should be considered as a differential diagnosis in patients presenting with small intestinal neoplasms.

No MeSH data available.


Related in: MedlinePlus

(A, B) An abdominopelvic computed tomography scan showing a long segmental small bowel intussusception with a suspected low density mass at the tip (arrowheads).
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Figure 1: (A, B) An abdominopelvic computed tomography scan showing a long segmental small bowel intussusception with a suspected low density mass at the tip (arrowheads).

Mentions: There were no significant findings on chest or abdominal radiography. Esophagogastroduodenoscopy (GIF-H260; Olympus, Tokyo, Japan) revealed gastric ulcer scars and duodenitis, and findings upon colonoscopy (CF-H260AL; Olympus) were unremarkable. However, intravenous contrast enhanced abdominal-pelvic computed tomography showed a small bowel intussusception in the mid-to-distal jejunum, with a suspected low density mass at its tip (Fig. 1).


Polypoid arteriovenous malformation presenting with jejunojejunal intussusceptions in an adult.

Lim DH, Ahn JY, Seo M, Yun JH, Kim TH, Jung HY, Kim JH, Park YS - Clin Endosc (2014)

(A, B) An abdominopelvic computed tomography scan showing a long segmental small bowel intussusception with a suspected low density mass at the tip (arrowheads).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4260109&req=5

Figure 1: (A, B) An abdominopelvic computed tomography scan showing a long segmental small bowel intussusception with a suspected low density mass at the tip (arrowheads).
Mentions: There were no significant findings on chest or abdominal radiography. Esophagogastroduodenoscopy (GIF-H260; Olympus, Tokyo, Japan) revealed gastric ulcer scars and duodenitis, and findings upon colonoscopy (CF-H260AL; Olympus) were unremarkable. However, intravenous contrast enhanced abdominal-pelvic computed tomography showed a small bowel intussusception in the mid-to-distal jejunum, with a suspected low density mass at its tip (Fig. 1).

Bottom Line: Treatment comprised laparoscopic small bowel resection with end-to-end jejunostomy.The final diagnosis was a polypoid AVM measuring 5×3.5×3 cm.We suggest that polypoid AVM should be considered as a differential diagnosis in patients presenting with small intestinal neoplasms.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, Asan Digestive Disease Research Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

ABSTRACT
Jejunal polypoid arteriovenous malformations (AVMs) and jejunojejunal intussusceptions are both rare. Here, we present the case of a 61-year-old woman who suffered intermittent episodes of abdominal pain over the course of 13 years. A computed tomography scan of her abdomen and pelvis revealed a distal jejunojejunal intussusception. A suspected low density mass was observed at the tip of the intussusception. Treatment comprised laparoscopic small bowel resection with end-to-end jejunostomy. The final diagnosis was a polypoid AVM measuring 5×3.5×3 cm. We suggest that polypoid AVM should be considered as a differential diagnosis in patients presenting with small intestinal neoplasms.

No MeSH data available.


Related in: MedlinePlus